Miller, Dena

Miller, Dena is an individual health care provider with primary practice located at 28 Crescent St , Middletown CT 06457-3654. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Miller, Dena can be contacted via phone (860) 358-6000.

Contact Information

Primary practice address
28 Crescent St Middletown CT 06457-3654
Phone: (860) 358-6000
Fax: (860) 358-6071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 232210 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 38133 Connecticut

Profile Details

NPI number 1053351064
LBN Legal business name Miller, Dena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated May 28th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053351064 NPPES
Connecticut MEDICAID 001381334
Connecticut MEDICAID 02883136
Connecticut Other A400154401

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